心因性非痫性发作共病的研究进展  

Recent Advances in Comorbidities of Psychogenic Non-Epileptic Seizures

作　　者：李爽 张建华 LI Shuang;ZHANG Jianhua(Department of Neurology,Shangyu People’s Hospital of Shaoxing,Shaoxing,Zhejiang 312300,China)

机构地区：[1]绍兴市上虞人民医院神经内科,浙江绍兴312300

出　　处：《中国医学科学院学报》2025年第2期303-308,共6页Acta Academiae Medicinae Sinicae

摘　　要：心因性非痫性发作是一种以发作性,伴有运动、行为、感觉和/或认知改变为特点的疾病,临床表现与癫痫发作类似。临床工作中极易被误诊和忽视,目前大多数干预治疗措施仍依赖于临床医生的经验,本文主要综述心因性非痫性发作的多种共病,包括精神、认知、躯体综合征、睡眠障碍、癫痫等,以加强心因性非痫性发作患者临床治疗和管理的针对性,为患者提供更高效的个体化诊疗方案。Psychogenic non-epileptic seizures are accompanied by motor,behavioral,sensory,and/or cognitive changes,with the clinical manifestations similar to epileptic seizures.This disease is easy to be misdiagnosed and neglected in clinical work.At present,most intervention measures still depend on the experience of clinicians.This article reviews the comorbidities of psychogenic non-epileptic seizures,including mental and cognitive disorders,somatic syndrome,sleep disorders,and epilepsy.This review aims to strengthen the precision of clinical treatment and management of patients with psychogenic non-epileptic seizures and provide more efficient individualized diagnosis and treatment programs for patients.

关 键 词：心因性非痫性发作 共病 个体化诊疗 

分 类 号：R749[医药卫生—神经病学与精神病学]